@layout("/common/_form.html",{js:["/assets/org/supplier/supplier_edit.js"]}){

<form class="layui-form" id="supplierForm" lay-filter="supplierForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>

                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">供应商编号<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="supplierNum" name="supplierNum" placeholder="请输入供应商编号" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">供应商名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="name" name="name" placeholder="请输入供应商名称" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系人姓名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="contactName" name="contactName" placeholder="请输入联系人姓名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">固定电话<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="fixphone" name="fixphone" placeholder="请输入固定电话" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">手机号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="telephone" name="telephone" placeholder="请输入手机号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">电子邮箱<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="email" name="email" placeholder="请输入电子邮箱" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">备注</span></label>
                        <div class="layui-input-block">
                            <input id="remark" name="remark" placeholder="请输入备注" type="text" class="layui-input"/>
                        </div>
                    </div>
                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">传真<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="fax" name="fax" placeholder="请输入传真" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">地址</span></label>
                        <div class="layui-input-block">
                            <input id="address" name="address" placeholder="请输入地址" type="text" class="layui-input"/>
                        </div>
                    </div>
                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">纳税人识别号<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="taxNumber" name="taxNumber" placeholder="请输入纳税人识别号" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">开户行<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="bankName" name="bankName" placeholder="请输入开户行" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">银行账号<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="bankNumber" name="bankNumber" placeholder="请输入银行账号" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">营业执照图<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="businessLicense" name="businessLicense" placeholder="请输入营业执照图" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                    <!--<div class="layui-inline layui-col-md12">-->
                    <!--<label class="layui-form-label">删除标记<span style="color: red;">*</span></label>-->
                    <!--<div class="layui-input-block">-->
                    <!--<input id="deleted" name="deleted" placeholder="请输入删除标记" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--</div>-->
                    <!--</div>-->
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}